Wr Jacobs Enterprises, Llc | |
806 Ne Lowell Dr Ankeny IA 50021-2090 | |
(515) 509-0219 | |
Not Available |
Full Name | Wr Jacobs Enterprises, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 806 Ne Lowell Dr, Ankeny, Iowa |
Authorized Official Name and Position | Warren R Jacobs (OWNER, LICENSED FAMILY THERAPIST) |
Authorized Official Contact | 5155090219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wr Jacobs Enterprises, Llc 806 Ne Lowell Dr Ankeny IA 50021-2090 Ph: (515) 509-0219 | Wr Jacobs Enterprises, Llc 806 Ne Lowell Dr Ankeny IA 50021-2090 Ph: (515) 509-0219 |
NPI Number | 1104519065 |
---|---|
Provider Enumeration Date | 05/29/2023 |
Last Update Date | 05/29/2023 |
Certification Date | 05/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104519065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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